CENTRE FOR DISTANCE EDUCATION
ACHARYA NAGARIUNA UNIVERSITY : : NAGARJUNA NAGAR - 522 510
APPLICATION FOR ISSUE OF TRANSFER & STUDY CERTIFICATES:
Note : Ihe Candidate ts required 1 folow the instructions goven overdea, carefully
(lo be fille in by the Candidates)
1, Name of the Candidate
(in Black teters)
2, Father's Name
2. Course and period of study
4, Whether the candidate joined
Imany other course /dipluins courses
during the above period
5. Date of Birth
(As perS.S.C./
‘Notary Certificate submitted eaulier)
6, Whether Challan tor &s.50/-is enclosed
J. Whether the candidate wishes to reveive the
certificate inperson or by Registered Post
8 Iso, mention address
{Also enclose self addressed envelope
‘with Ks.2/- postal stamps affixed)
9, Name of (the University / Institution where)
the student passed the qualifying examination
Day escee MOAB coven Year
(inv wns
YES/NO Date
YES / NOTO BE ISSURD BY ADMISSION WING. CDE
Whether Tuition fee pald in fu
RECEIPT No. DATE
Loy 220) 1 Term
Term
WYEAR :20 Vferm
Wer sen
MYEAR 20 Hern
Tem
Date of Admission
Date of leaving
Any other remarks he
5, TC & Study Certificate No
‘Thisis to certify that Sri/ Kum, /Smt,
thas Studied an Course and owes no dues
to the Admissions wing, CDE as on
Date: Signature of in-charge of
Admissions with office seal
Examination Section
Prepared by DIRECTOR
‘Compared by: Supat. AR DR.
INSTRUCTIONS TO CANDIDATE,
1. DD. Fors 0/-paidat State Bunk of India/ Andhra Bank payable at University Campus shouldbe enclosed
to the application for the issue of Transfer Certificate ifthe aplication is received in the Cente for Distance
Education
2. Name and Surname should be filled in with capital letersi its usual order without leaving any pit of the
name of surname in inital lees
3. Thecertfcates wil either be sued ra rhe candidates only in person (on production oftheir dents} or wil
be sent by Registered Post ifa self - addresed and stamped envelope worth Rs.25- is enclosed